Ken R Yoder, LCSW

NPI #1104866920 in Goshen, Indiana

Provider Information

NPI Number: 1104866920
Entity Type: Individual
Name: Ken R Yoder, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jun 8, 2006
Last Updated: Aug 8, 2011

Practice Location

Address: 330 LAKEVIEW DR
City: Goshen
State: Indiana
ZIP Code: 46528-9365
Phone: (574) 533-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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